64402
HCPCS Procedure Code
HCPCS code 64402 is the #5,630 most-billed Medicaid procedure code, with $164K in payments across 2K claims from 2018–2024. The national median cost per claim is $63.97. Costs vary widely — the 90th percentile is $248.01 per claim, 3.9× the median.
Total Paid
$164K
0.00% of all spending
Total Claims
2K
Providers
9
Avg Cost/Claim
$106
National Cost Distribution
How much do providers bill per claim for 64402? Based on 7 providers billing this code nationally.
Median
$63.97
Average
$121.44
Std Dev
$136.37
Max
$409.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.94 and $137.86 per claim for this code.
90% bill between $26.19 and $248.01.
Top 1% bill above $393.47.
About This Procedure
HCPCS code 64402 was billed by 9 providers across 2K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 948 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$63.97
Providers Billing
7
National Spending
$164K
Avg/Median Ratio
1.90×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 64402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730687161 | $117K |
| 2 | 1346411915 | $27K |
| 3 | 1417953787 | $13K |
| 4 | 1801837539 | $5K |
| 5 | 1093158347 | $1K |
| 6 | 1972590412 | $793 |
| 7 | 1134304595 | $40 |
| 8 | 1588656946 | $0 |
| 9 | 1598717480 | $0 |
Showing top 9 of 9 providers billing this code